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Details

Meningitis
Drugs and doses
13
Pharmacology
Graduate
02/12/2012

Additional Pharmacology Flashcards

 


 

Cards

Term
Empiric drug for <1month old
Definition
Amp + AG

or

Amp + cefoaTAXime
Term
Empiric drug for 1-23 month old
Definition
Vanco + ceftriaxone or *cefoTAXime*
Term
Empiric drug for 2-50yo
Definition
Vanco + *ceftriaxone* or cefoTAXime
Term
Empiric drug for >50yo
Definition
Vanco + Amp + ceftriaxone or cefoTAXime
Term
Dexamethasone dose for neonates
Definition
Never give to neonates
Term
Dexamethasone dose for infants and children? When given?
Definition
0.15mg/kg/dose IV q6hr for 2-4 days. Give 10-20 min before abx
Term
Dexamethasone dose for adults? When given?
Definition
0.15mg/kg/dose IV q6hr for 4 days. Give 15-20 min before abx
Term
Rifampin prophylaxis dose for N. Meningitidis for adults, children, and infants?
Definition
Adults: 600mg q12hr for 4 doses
Children: 10mg/kg q 12hr for 4 doses
Infants: 5mg/kg q 12hr for 4 doses

Alt: cipro or ceftriaxone
Term
Rifampin prophylaxis dose for H. influenzae for adults, children, and infants?
Definition
Adults: 600mg QD for 4 doses
Children: 20mg/kg QD for 4 doses
Infants: 10mg/kg QD for 4 doses
Term
Strep pneumo drugs (suscept, intermediate, resistant)?
Definition
Suscept: Pen G or Amp
Intermediate: 3rd Gen ceph
Resistance: Vanco + 3rd gen ceph


Alternatives:

Suscept: 3rd gen ceph, chloramphenicol
Intermediate: cefepime, mero, linezolid, fluoroquinolone
Resistance: same as intermediate
Term
N. Meningitidis drugs (suscept, resistant)?
Definition
Suscept: Pen G or Ampicillin
Resistant: 3rd gen ceph



Alternatives:
Suscept: 3rd ceph, chloramphenicol
Resistant: chloramphenicol, mero, fluoroquinolone
Term
H. Influenzae (beta lactamase negative and positive)?
Definition
beta lactamase negative: ampicillin
beta lactamase positive: 3rd gen ceph


Alternative:
beta lactamase negative: chloramphenicol, cefepime, fluoroquinolone, or 3rd gen ceph
beta lactamase positive: chloramphenicol, cefepime, fluoroquinolone
Term
Who do you give dexamethasone to?
Definition
Adults: if have pneumococcal meningitis
Children and infants: if have H. Influenzae. Is controversial if have pneumococcal meningitis.
Never to neonates.
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